How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $467.74 | Facility | None | $102.33 | $208.93 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $407.38 | Professional | None | $93.33 | $102.33 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $380.19 | Facility | None | $100.00 | $125.89 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $173.78 | Professional | None | $61.66 | $75.86 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $416.87 | Facility | None | $91.20 | $134.90 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $181.97 Typical High $263.03 | Professional | None | $60.26 | $181.97 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $223.87 Median $316.23 Typical High $2,187.76 | Facility | None | $223.87 | $316.23 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $114.82 | Professional | None | $81.28 | $102.33 | $114.82 |
United Setting Professional Modifier None Typical Low $52.48 Median $102.33 Typical High $151.36 | Professional | None | $52.48 | $102.33 | $151.36 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $51.29 Typical High $204.17 | Professional | 52 · Reduced service | $46.77 | $51.29 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $83.18 | Professional | 53 · Discontinued | $18.62 | $20.42 | $83.18 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 42nd of 51
$100
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.